Congruent Counseling Services - Mental Health and Substance Abuse Care for Adults, Teens, and Children. Locations in Columbia, Eldersburg, Millersville, Olney, and Towson, Maryland. Unhappy man


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Psychatrists & Medical Management Services

N. Joseph Gagliardi, MD
Portrait of N. Joseph GagliardiAddictions Medicine Specialist
Columbia, MD

Dr. Gagliardi, M.A., M.D., F.A.A.F.P., has worked in the field of addictions since 1972. Since then, he has worked in various capacities: as a consultant developing prevention programs, as an addictions counselor, as a Family Physician, as an Addiction Medicine Specialist and as adjunct assistant professor. He is currently a Diplomate of the American Board of Addiction Medicine.

Dr. Gagliardi received his A.B. in Sociology, 1971, from the University of Notre Dame; his Master of Arts degree in Counseling, 1975, from the University of Maryland, College Park; his M.D. degree in 1979 from the School of Medicine at the State University of New York at Buffalo. He completed his Family Medicine residency at the University of Maryland in 1982. In 1986, he was among the first 800 physicians nationally certified as Addiction Medicine Specialists by the American Society of Addiction Medicine. For the past 30 years, as an Adjunct Assistant Professor at the University of Maryland School of Medicine, he has taught medical students about addictions issues.


Portrait of Dr. Rosenthal

Joshua Rosenthal, M.D.
Psychiatric and Medication Management Services
Opiate Addiction Treatment/Suboxone Certified

Dr. Rosenthal serves as the Medical Director for Congruent Counseling's Intensive Outpatient Program as well as the Psychiatric Consultant for Integrative Counseling for the past six years. He is fully trained in both adult and child psychiatry and has a board
certification in adult psychiatry.

Dr. Rosenthal has experience treating a broad range of psychiatric and behavior disorders, including depression, seasonal affective disorder (SAD), anxiety, bipolar disorder, attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD), substance abuse, autism, Asperger's disorder, and more. He also has extensive experience in clinical trials of new medications for the treatment of mood and anxiety disorders in adults and children. Dr. Rosenthal is also certified to prescribe Suboxone for
opiate addiction.

He grew up in Rockville, Maryland and has lived in the state almost all of his life. He earned his undergraduate degree in English and American Literature at Brandeis University in Waltham, MA and then went on to receive his medical degree and adult and child psychiatry training at the University of Maryland in Baltimore.

Dr. Rosenthal sees patients with Integrative Counseling. Dr. Rosenthal is not in network with any insurances or Medicare. However, we will help you figure out if you have out of network benefits that may allow you to get reimbursed by your insurance company for his services.

He sees adults, teens and kids!


Stas Spivak, MD
Portrait of Stan SpivakPsychiatric and Medication Management Services
Mental Health & Addiction Treatment/Suboxone Certified

Dr. Spivak serves as a Psychiatric Consultant for Integrative Counseling. He is Board Certified in Adult Psychiatry.

Dr. Spivak’s experience includes treating a broad range of adult psychiatric and behavioral disorders, including addictions. He is trained and certified to prescribe Suboxone for opiate addictions.

He completed a Bachelor of Science degree in Microbiology as well as a Bachelor of Arts degree in Sociology at the University of Maryland at College Park. He received his Medical Doctorate from the Johns Hopkins School of Medicine, where he also completed post graduate residency training in Adult Psychiatry. Subsequently he completed a Psychiatric Epidemiology Fellowship at the Johns Hopkins Bloomberg School of Public Health. His research experience includes field validation of the latest DSM 5 prior to release, published work looking at suicide and alcohol consumption, as well as upcoming research on adherence issues in community psychiatry. He teaches residents and medical students at the Johns Hopkins University.

Dr. Spivak sees patients with Integrative Counseling.


Psychiatric Nurse Practitioner

Portrait of Shannon BrillShannon Brill, PMHNP
Psychatric Mental Health Nurse Practitioner
Columbia, Maryland

Shannon was born and raised in Pittsburgh, Pennsylvania, then moved to Maryland where she earned her Bachelor's degree in Nursing at the University of Maryland. She went on to work as an ICU nurse until beginning her Masters a few years later. She graduated with a Master's of Science specializing in an Adult Psychiatric Nurse Practitioner/ Clinical Nurse Specialist. Since then she has worked in a variety of settings including in-patient psychiatry, psychiatric ER/crisis intervention, consultation services in the general hospital population, nursing homes, assisted living and out-patient psychiatry.

Shannon's experience is broad treating a range of psychiatric disorders including depression, anxiety, bipolar disorder, attention deficit hyperactivity disorder, and psychotic disorders. She sees patients aged 18 and older.

When Shannon is not at work she enjoys spending time with her husband and two young children. She is also passionate about running and healthy eating.

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